How to protect eyesight in children? Symptoms of eye problem in Children

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How to protect eyesight in children?

What is the most important part of our body? There is no exact answer to that. All organs have their own importance. The eye is also an important part of our body. let’s talk about how to keep our eyes healthy.

Only when the eyes are clean and beautiful, they can see the beautiful world. If you take care of it, it will help you in your daily life.

Children’s eye as an intensive topic

Many people think that eyes become weak at old age, it is a disease of elderly people. But, that’s not the case. Child-eye health is equally important and sensitive like as in elder and ageing people.

Body science also shows that children’s eye disease is a distinct and intensive topic. It helps in examination, treatment and makes counselling about different types of eye diseases.

About 1.5 million children are blind in the world, of which about two-thirds live in Asia and African countries.

The leading cause of blindness in the world is Cataract, Glaucoma, Corneal diseases, and Retinal Problems.  However, if we measure child blindness for the time a child has to live blind for his whole life, Child blindness is the second most extreme blinding condition after cataract.

Children cannot tell about their problems:

The World Health Organization has put childhood blindness on the list of its major priorities. About two-thirds of the child blindness in other developing countries like Nepal are not detected or treated on time. It can be treated or cured. Children’s problems are very different from the problems seen in the adult. Examinations and treatment methods are also different.

Small children cannot say anything about their problems, such as Pain, Blurred vision, and other symptoms of their eyes. If we cannot find out the problems and treat them in time, children will have lazy eyes. Treatment of such lazy eye is impossible if treatment is started too late.

Eye problems in children

Refractive Error, Amblyopia (Lazy Eye), Squint, Congenital Cataract, Glaucoma, Ocular Trauma, Infection (Conjunctivitis), Allergy related problems and Night Blindness.

Along with them, other Retinal diseases such as Retinopathy of prematurity (ROP), Retinitis Pigmentosa(RP), Retinal Dystrophy etc. are also dangerous eye diseases.


Eye problems in children: Symptoms

  • White on the black part of the eyes (Opacity in the cornea)
  • Tilted head while viewing or reading something.
  • Deviated eyes
  • Watering, Frequently blinking of eye and Redness
  • Rubbing of eye
  • Watching the television closely


What to do for the children eye problem

If a child has such symptoms, immediately take him/her to see an eye doctor. Additionally, the eyes of all children should be checked once in a period of 45 days to 2 months after birth, once in 6 months afterwards, and at the time of school admission.

Eye checks must be done every year until the next 8-10 years. Baby born with less weight and premature born babies should be checked between the 1st month of birth to the 6th weeks.

Refractive Error: A major vision problem in child

This problem is extremely seen in children. There are different types of refractive errors:

  • Myopia
  • Hypermetropia
  • Astigmatism

This problem appears when the rays of light cannot touch the retina properly. Myopia is found in most schooling children. Generally, it is also known as ‘Physiological Myopia’.


Sign of vision problem in children


In schooling children, Not being able to see distant objects clearly (Especially in the classroom), Watching television from too near, deviated eyes, Tilted head, and Recurrent multiple Stye (Lid Infection followed by painful mass).

In the case of these symptoms, the child should be taken to the nearest eye hospital. Another important fact is that some children do not have any symptoms at all, parents should be aware of the regular vision checkup of their children.


Questions that many people ask

Many people have wrong knowledge and opinions about the refractive error. Questions I hear and experience on a daily basis are as follows:

  1. Can eye go weak at this small age
  2. Using glasses at this early age? 
  3. Oh! How will my baby put on glasses?
  4. If my child uses glasses, won’t his eye become further damaged? Won’t the power of glass increase?
  5. Can’t he use these glasses after being more adult?

People need to remove such misconceptions. An increase in the power of glasses is seen in most cases. But what should be considered more is the fact of the increase in the amount of vision seen after using glasses? This is the most important thing to be seen.

The eye gets lazy if refractive error is not treated on time. If glasses cannot reverse the vision damage caused by refractive error, the condition is called Lazy Eye (Amblyopia). If the eye is lazy, prompt treatment in time is necessary.

Detecting all these diseases in time helps in treatment. However, after delaying treatment, the possibility of vision restoration is low, even after treatment.
The ways to identify this disease can be done first by knowing the common symptoms of the disease. The second way is to have regular eye check-up of the children at regular intervals of time.

(Dr. Srijana Adhikari, Paediatric Ophthalmologists – Tilganga Institute of Ophthalmology)

Note: Article was published on 4th June 2018 in Online Khabar news portal in the Nepali language)

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